ROSA M DIAZ Advanced Practice Nurse License verification

Business Entity

ACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****73

License Status

ACTIVE

Business

First Name

ROSA M

Last Name

DIAZ

Business Name

ROSA M DIAZ

Original Issue Date

08/20/2001

Effective Date

03/21/2024

Expiration Date

05/31/2026

City

SKOKIE

State

Zip

60076

County

COOK

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

03/02/2026